person
Mark Shannon Broussard, LAC,CCS
Addiction (Substance Use Disorder) Counselor in Baton Rouge, Louisiana
NPI 1255833661

Mark Shannon Broussard is an Addiction (Substance Use Disorder) Counselor based in Baton Rouge, LA and is specialized in Addiction (Substance Use Disorder). Mark Shannon Broussard practices in Baton Rouge, LA and has the professional credentials of LAC,CCS. The NPI Number for Mark Shannon Broussard is 1255833661 and holds a License No. 661 (Louisiana).

The current practice location address for Mark Shannon Broussard is 5431 Superior Dr, Baton Rouge, LA and can be reached out via phone at 225-964-5000.

Location: 5431 Superior Dr, Baton Rouge, LA, 70808-6200
person
Provider Profile Details
NPI Number
1255833661
Provider Name
Mark Shannon Broussard
Credential
LAC,CCS
Provider Entity Type
Individual
Gender
Male
Address
5431 Superior Dr, Baton Rouge, LA, 70808-6200
Phone Number
225-964-5000
Fax Number
Provider Enumeration Date
03/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5431 Superior Dr
City
State
Zip
70816-6044
Phone Number
225-964-5000
Fax Number
person
Provider Business Mailing Address Details
Address
5431 Superior Dr
City
State
Zip
70816-6044
Phone Number
225-964-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
661 (Louisiana)
Definition
Definition to come...
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